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Organization

DERRICK ALLOWAY MEDICAL ARTS, LLC

Active
Other names
Derrick Alloway Medical Arts Non Profit
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK JASON ALLOWAY (DIRECTOR)
(201) 207-9243
Entity
Organization

Contact information

Practice address
305 PARK AVE, RUTHERFORD, NJ 07070-2748
(201) 207-9243
Mailing address
305 PARK AVE, RUTHERFORD, NJ 07070-2748
(201) 207-9243

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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